Active NPI
Erin Elizabeth Tilton
- Dentist
- Clayton, NC
National Provider Identifier
1780030874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10361
- Practice address
- 31 Oleander Dr
Clayton, NC 27527-4561 - Phone
- (330) 306-8449
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 10361 | NC | Primary |
Addresses
Primary practice location
31 Oleander Dr
Clayton, NC 27527-4561
Mailing address
232 Brauer HL
Campus Box #7450
Chapel Hill, NC 27599-0001
Phone (330) 306-8449
Other practice location 1
1111 S Pollock St
Selma, NC 27576-2933
Phone (330) 306-8449
Other practice location 2
4019 Vallonia Dr
Cary, NC 27519-6624
Phone (330) 306-8449
Other practice location 3
1000 Crescent Grn Ste 200
Cary, NC 27518-8117
Phone (330) 306-8449
Other names 1
- Erin Elizabeth Brodell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.brushandfloss.com/locations/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622000022 | NC | Order and Referring Only - Other (Physician) | 7113218157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10361 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1780030874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 BRAUER HL",
"address_2": "CAMPUS BOX #7450",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "330-306-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OLEANDER DR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275274561",
"telephone_number": "330-306-8449"
}
],
"practiceLocations": [
{
"address_1": "1111 S Pollock St",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "NC",
"postal_code": "275762933",
"country_code": "US",
"telephone_number": "330-306-8449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4019 Vallonia Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275196624",
"country_code": "US",
"telephone_number": "330-306-8449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Crescent Grn Ste 200",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275188117",
"country_code": "US",
"telephone_number": "330-306-8449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILTON",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10361",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.brushandfloss.com/locations/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "https://www.brushandfloss.com/locations/",
"address_1": "31 Oleander Dr",
"city": "Clayton",
"state": "NC",
"country_code": "US",
"postal_code": "275274561",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIN",
"last_name": "BRODELL",
"middle_name": "ELIZABETH",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.